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目的:评价应用栓塞技术治疗假性动脉瘤和应用被覆内支架治疗真性动脉瘤的临床效果。材料与方法:本组6例动脉瘤,其中5例为假性动脉瘤,1例为真性动脉瘤,其病因均为外伤所致。假性动脉瘤采用超选技术应用明胶海绵或弹簧圈将受损动脉栓塞。真性动脉瘤采用被覆镍钛合金内支架将其隔离和重建动脉腔。结果:6例技术操作全部成功,无并发症发生。结论:应用栓塞技术治疗假性动脉瘤,应用被覆内支架治疗真性动脉瘤效果可靠,但假瘤的栓塞治疗条件是仅由受损动脉供血。
OBJECTIVE: To evaluate the clinical effects of embolization on the treatment of false aneurysms and the use of coated stents for the treatment of true aneurysms. Materials and Methods: In this group, 6 cases of aneurysms, including 5 cases of pseudoaneurysms and 1 case of true aneurysms, were caused by trauma. Pseudoaneurysms embolized damaged arteries using gelatin sponges or coils using a superselective technique. True aneurysms are covered with nickel-titanium stents to isolate and reconstruct the arterial lumen. RESULTS: All the 6 procedures were successful and no complications occurred. Conclusion: The application of embolization for the treatment of pseudoaneurysm is effective for the treatment of true aneurysms with covered stents. However, the condition of embolization of pseudotumor is that only the injured artery supplies blood.